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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s*gov.org/ehd/unitiii.htmi <br />CONTINUATION FORM <br />Page: 4 of 4 <br />OFFICIAL INSPECTION REPORT <br />Date: 05/06/11 <br />Facility Address: Pilot Flying J #617 15237 N. Thornton Rd. Lodi CA 95242 <br />Program: HW <br />SUMMARY OF VIOLATIONS <br />(CLASS I, CLASS II, or MINOR -Notice to Comply) <br />52. An emergency coordinator and modified contingency plan information is lacking. There must be at <br />least one emergency coordinator on site or on call to coordinate emergency response measures, and <br />the following information must be posted by a phone: the name and phone number of the emergency <br />coordinator; location of fire extinguishers, spill control equipment, and if present, fire alarm; and the <br />phone number of the fire department, unless the facility has a direct alarm. Employee completed the <br />provided form and posted it next to the facility phone(s). Corrected on site. <br />79. The box of UW lamps was left open. A UW handler shall manage lamps in a way that prevents <br />releases of any UW or component of a UW to the environment. a UW handler shall contain any lamp in <br />a container or package that is structurally sound, adequate to prevent breakage, and compatible with the <br />contents of the lamp. Such a container or package shall remain closed and shall lack evidence of <br />leakage or damage that could cause leakage under reasonably foreseeable conditions. Employee <br />rearranged the UW lamps into the box and closed it. Corrected on site. <br />Complete and submit a copy of the Return to Compliance Certification form with a statement of how <br />each violation was corrected, including supporting documentation, by 6-6-11. <br />ALL EHD STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOURLY RATE ($122). <br />THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br />EHD Inspector: <br />Received y: _ <br />Title: <br />NA (7�_I <br />__­­�' <br />�n <br />EHD 2302-003 Rev 08/10/10 CONTINUATION FORM <br />